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General NPI Number Information
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NPI Number | 1750333852
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Entity Type | Organization
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Legal Business Name | THOMAS E. MCDANIEL, LCSW INC.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 276 OLD MOCKSVILLE RD SUITE 100
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City | STATESVILLE
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State | NC
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Zip | 28625-1949
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Country | US
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Telephone | 704-929-8712
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Fax | 704-883-8661
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Provider Business Mailing Address
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Address Line | PO BOX 2307
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City | MORGANTON
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State | NC
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Zip | 28680-2307
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Country | US
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Telephone | 704-929-8712
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | THOMAS EVERETT MCDANIEL
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Credential | LCSW
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Telephone | 704-929-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003601
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License Number State | NC
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